Individual provider Active NPI

Prajnya Shenoy, PT

  • Physical Therapist
  • Brighton, MI
National Provider Identifier
1396886933
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10415 Grand River Rd Ste 300
Brighton, MI 48116-6533
Phone
(810) 229-6140
Fax
(810) 229-6145
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

10415 Grand River Rd Ste 300
Brighton, MI 48116-6533

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

38807 Ann Arbor Rd Ste 7
Livonia, MI 48150-3896
Phone (734) 462-2700

Other names 1

  • Prajnya Shenoy Katapadikar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000795 MI Practitioner - Physical Therapist in Private Practice 5991979767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9604 Chilson CMNS
Pinckney, MI 48169-9599
Phone (810) 231-6904

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
71.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince May 15, 2017 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince May 15, 2017 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

10415 Grand River Rd
Ste 300
Brighton, MI 48116
Phone (810) 229-6140

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

10636 W 7 Mile Rd
Detroit, MI 48221
Phone (313) 862-1340

23143 Woodward Ave
Ferndale, MI 48220
Phone (248) 268-5742

19169 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 308-0913

10860 Highland Rd
Hartland, MI 48353
Phone (810) 632-1000

1432 E 12 Mile Rd
Madison Hts, MI 48071
Phone (248) 543-4886

9604 Chilson Cmns
Pinckney, MI 48169

1201 E Main St
Ste A
Pinckney, MI 48169
Phone (734) 648-0138

31120 Gratiot Ave
Roseville, MI 48066
Phone (586) 541-2220

31372 Woodward Ave
Royal Oak, MI 48073
Phone (248) 591-4229

25700 Pontiac Trl
South Lyon, MI 48178
Phone (248) 366-0403

22450 Pontiac Trl
South Lyon, MI 48178
Phone (248) 486-1110

29900 Southfield Rd
Southfield, MI 48076
Phone (248) 663-0400

29275 Northwestern Hwy
Ste 150
Southfield, MI 48034
Phone (248) 351-6300

8381 E 12 Mile Rd
Warren, MI 48093
Phone (586) 698-1999

6199 Haggerty Rd
West Bloomfield, MI 48322
Phone (248) 560-2505

29600 S Wixom Rd
Wixom, MI 48393
Phone (248) 668-1900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1396886933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10415 GRAND RIVER RD STE 300",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481166533",
            "telephone_number": "810-229-6140",
            "fax_number": "810-229-6145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38807 Ann Arbor Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481503896",
            "country_code": "US",
            "telephone_number": "734-462-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHENOY",
        "first_name": "PRAJNYA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRAJNYA",
            "last_name": "SHENOY KATAPADIKAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brighton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.